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Abdominal fascial planes..

      Dr/Ahmed Bahnassy
     Consultant Radiologist
             RMH
Importance

    High ways for pathology

 Infection
 Fluid
 Neoplasm
Level I
•Upper
 abdominal
 spaces
Embryology
Peritoneal folds related to the Spleen& Kidney:-

•   Gastrosplenic ligament.

• Splenorenal (lienorenal)
  ligament:
connects the spleen to the posterior
  abdominal wall over the left
  kidney.
Lesser Sac
Is it important ?!
• Lesser sac fluid =
  neighboring pathology
Perihepatic spaces
Glisson capsule and sheath
Cholecystitis
Cullen sign
Tumour spread
Level II
• Retroperitoneum
axial
Retroperitoneum.
     Sagittal
Relation to midline
Inferior
extensions
Ilio-psoas
       spaces
•   The iliopsoas
    compartment consists
    of the psoas major,
    psoas minor, and
    iliacus muscles.
•   The psoas major
    muscle arises from the
    transverse processes
    of the 12th thoracic
    and lumbar vertebrae
•   merges with the iliacus
    muscle at the level of
    the L5 through S2
    vertebrae to form the
    iliopsoas muscle.
Level III
•Pelvis & down .
Pelvic spaces-sagittal
Pelvic spaces coronal
Perineal spaces
Perineal spaces-relation to thigh
• Now let’s apply
Grey Turner sign
• Follow pathology
  routes
Radiological anatomy of abdominal spaces ...pathway of tumor  and infection spread

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